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If you're a new client, please complete the following forms and bring them to your first therapy session.
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.
Lake City, FL 32025
Dr. Sha'Leda Mirra, PhD, M.Div., MS, LCSW, CAP
Book Me for your next Mental Wellness Workshop!
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